In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spending growth.
Office of Health Policy (HP)
The Office of Health Policy (HP) provides a cross-cutting policy perspective that bridges Departmental programs, public and private sector activities, and the research community, in order to develop, analyze, coordinate and provide leadership on health policy issues for the Secretary. HP carries out this mission by conducting policy, economic and budget analyses, assisting in the development and review of regulations, assisting in the development and formulation of budgets and legislation, assisting in survey design efforts, as well as conducting and coordinating research, evaluation, and information dissemination on issues relating to health policy.
HP is organized in four divisions that align with major Department programs :
Division of Health Care Financing Policy (HFP)
Division of Public Health Services (PHS)
Division of Health Care Access and Coverage (HAC)
Division of Health Care Quality and Outcomes (HQO)
Health Policy Research:
- Reports to Congress
- Affordable Care Act Research & Issue Briefs
- HP Authored or Sponsored Work Published in Journals
Other Helpful Information:
Topic Areas:
- Behavioral Health
- Children's Health Insurance Program (CHIP)
- Health Equity
- Health Indicators
- Health Insurance Marketplace
- Health Policy
- Healthcare Reform
- Healthcare Safety Net
- HIV & AIDS
- Medicaid
- Medicare
- Patient-Centered Outcomes Research Trust Fund (PCORTF)
- Prevention
- Public Health
- Uninsured & Underinsured
Reports
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Plan Selections by ZIP Code and County in the Health Insurance Marketplace: March 2016
The dataset provides the total number of Qualified Health Plan selections by ZIP Code and county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplaces, State Partnership Marketplaces, and supported State-based Marketplaces, during the Marketplace’s third Open Enrollment Period (based on data for the period November 1, 2015 – February 1, 2016).
Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report
During the third open enrollment period, the Health Insurance Marketplaces (“the Marketplaces”) continue to play an important role in fulfilling one of the Affordable Care Act’s central goals: reducing the number of uninsured Americans by providing affordable, high-quality health insurance.
Medicare Part B Drugs: Pricing and Incentives
Medicare Part B covers infusible and injectable drugs and biologics administered in physician offices and hospital outpatient departments; as well as certain other drugs required by law provided by suppliers such as pharmacies The Part B payment method provides weak incentives for physicians to consider value – that is choose the lowest cost therapy to effectively treat a patient.
Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform
Community Health Workers (CHWs) are an emerging group of health professionals that have recently drawn increased national attention because of their potential to deliver cost-effective, high quality, and culturally competent health services within team-based care models. The apparent benefits of integrating CHWs into health care teams seem to depend on context.
Addendum to the Health Insurance Marketplaces 2016 Open Enrollment Period: January Enrollment Report
This Addendum contains detailed State-level tables highlighting cumulative enrollment-related information for the Health Insurance Marketplaces (Marketplaces) during the the first part of the 2016 Open Enrollment period for all 50 states and the District of Columbia (11-1-15 to 12-26-15).
Environmental Scan
Environmental Scan of Programs and Policies Addressing Health Disparities Among Rural Children in Poverty
About 12.9 million children live in rural communities, where they are more likely than their nonrural peers to experience health problems associated with their environment, their socioeconomic status, their own and their families’ health behaviors, and their access to quality clinical care.